1457346025 NPI number — WHITE PLAINS HOSPITAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457346025 NPI number — WHITE PLAINS HOSPITAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITE PLAINS HOSPITAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WHITE PLAINS HOSP HHA
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457346025
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41 E POST RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10601-4607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-681-1087
Provider Business Mailing Address Fax Number:
914-681-1263

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
90 S RIDGE ST
Provider Second Line Business Practice Location Address:
SUITE LL10
Provider Business Practice Location Address City Name:
RYE BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10573-2867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-681-1087
Provider Business Practice Location Address Fax Number:
914-681-1263
Provider Enumeration Date:
09/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MOONEY
Authorized Official First Name:
TERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR/DPS
Authorized Official Telephone Number:
914-681-1087

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  5902601 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00274222 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000117 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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